Nursing home · Top rated by CMS
Pearsall Nursing and Rehabilitation Center
169 Medical Dr, Pearsall, TX 78061 · Map
Non profit - Corporation · Part of Wellsential Health (67 facilities) · 150 certified beds
Pearsall Nursing and Rehabilitation Center is a Medicare-certified nursing home in Pearsall, Texas. CMS rates it 5 out of 5 stars overall (3/5 for staffing, 4/5 for health inspections). Nurse staffing is 3.10 hours per resident per day, below the Texas average of 3.40. Its most recent inspection on May 9, 2025 cited 8 deficiencies.
- 1 fine totaling $21,530In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Pearsall Nursing and Rehabilitation Center compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.10 | 3.40 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.40 | 0.44 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.88 | 2.01 | 2.34 | below avg |
| Nursing staff turnover | 34.2% | 51.5% | 46.4% | below avg |
| Deficiencies cited, last inspection | 8.0 | 9.1 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 1 fine totaling $21,530, 1 total penalty.
What inspectors found at Pearsall Nursing and Rehabilitation Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Dec 5, 2025 · Full report (PDF) - Potential for harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · May 23, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · May 9, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · May 9, 2025 · Full report (PDF) - Potential for harm
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · May 9, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · May 9, 2025 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · May 9, 2025 · Full report (PDF) - Potential for harm
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · May 9, 2025 · Full report (PDF) - Potential for harm
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Nursing and Physician Services Deficiencies · Mar 29, 2024 · Full report (PDF) - Potential for harm
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · Mar 29, 2024 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Mar 29, 2024 · Full report (PDF) - Potential for harm
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Nutrition and Dietary Deficiencies · Mar 29, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 169 Medical Dr
Pearsall, TX 78061 - CMS certification #
- 455797
- Ownership
- Non profit - Corporation
- Certified beds
- 150
- Avg residents/day
- 101.8
- Provider type
- Medicare and Medicaid
- First certified
- 1989-03-23
- Chain
- Wellsential Health (67 facilities)
- Setting
- Rural
Part of Wellsential Health
Wellsential Health operates 67 nursing facilities across the United States. View all Wellsential Health facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Pearsall Nursing and Rehabilitation Center using Google Maps.
Other public records
- Website says A memory care unit, respite stays, transportation
- Staff pay 1 federal wage case with violations found, since 2023
Full public records, with dates and sources
Care and services
From the community’s website
What Pearsall Nursing and Rehabilitation Center says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Has a separate memory care unit, wing or neighborhood.
Female Only Secure Memory Support Unit
(page, checked Oct 12, 2026) - Offers respite or short-term stays.
Respite Care
(page, checked Oct 12, 2026) - Provides transportation.
Transportation
(page, checked Oct 12, 2026) - Apartment types named: private room, semi-private room.
Semi-Private Rooms
(page, checked Oct 12, 2026)
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for Mar 16, 2023 to Mar 15, 2025. Violations found: Fair Labor Standards Act (pay and hours). Employer as DOL recorded it: Pearsall Nursing and Rehabilitation Center (Regency IHS of Pearsall, LLC). Case 2000522.
DOL also concluded 1 case here with no violations found, most recently for a period ending Mar 25, 2020.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Location and nearby care
- Nearest hospital with an emergency room
- Frio Regional Hospital, Pearsall. 0.7 miles away, straight line. Location approximate.
- Nearest Medicare nursing home
- Devine Health & Rehabilitation, Devine. 22.3 miles away, straight line.
- Nearest home health agency office
- Frio Hospital Association, Pearsall. 1.9 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- H-E-B Pharmacy. 0.2 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 78061 as small town (small town core).
- Dialysis within 15 miles
- Davita Pearsall Dialysis, Pearsall, 1.6 miles away, straight line (CMS rating 3 of 5 stars)
- Hospice
- 19 Medicare hospices tell CMS they serve ZIP code 78061.
Heart To Heart Hospice Of South Texas, office in Pearsall, 0.7 miles away, straight line - Nearest geriatric medicine practice
- Curana Health Medical Group LLC, San Antonio. 45.3 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- FEMA has a flood map for this community (effective May 19, 1981), but it is not in FEMA's digital flood map data, so the zone at this address could not be read. FEMA's Map Service Center has the map. (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane relatively low, inland flooding relatively moderate, wildfire relatively low, tornado relatively moderate, heat wave relatively high, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
Looking for assisted living or memory care instead?
Frequently asked questions
Is Pearsall Nursing and Rehabilitation Center a good nursing home?
CMS gives Pearsall Nursing and Rehabilitation Center an overall rating of 5 out of 5 stars, including 3/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Pearsall Nursing and Rehabilitation Center staffed?
Pearsall Nursing and Rehabilitation Center reports 3.10 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has Pearsall Nursing and Rehabilitation Center had inspection problems?
Its most recent CMS inspection cited 8 deficiencies.
How many beds does Pearsall Nursing and Rehabilitation Center have?
Pearsall Nursing and Rehabilitation Center is certified for 150 beds.